Individual provider · Type 1 NPI
Kimberly Jo Potter
Critical Care Medicine Registered Nurse · Dickson, TN
NPI number
1639005069
Active
Practice location
910 Highway 48 S
Dickson, TN 37055-3912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | 17672 (TN) |
Critical Care Medicine Registered Nurse: Definition to come...
About NPI 1639005069
Kimberly Jo Potter's National Provider Identifier is 1639005069, issued on Jun 23, 2026. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Dickson, TN. The record was last updated on Jun 23, 2026.